HomeMy WebLinkAboutAIC2022005APPENDIX B
LOCAL AGENCY REVIEW
SECTION 1 (TO BE COMPLETED BY APPLICANT OR AGENT)
Applicant N Iul(,IV LeL:
CoNvt5av li)O qy. To SF W I -rT H S0 t)Q 60JG
Project Description CtACOAf--it SaLl ADAI T1(y�d 7D Sfrj2
Location 5Z 1?71ywy"� 1; H i 52 lh, L epc w 5N
Assessor Parcel Number V 150 222—
SECTION 2 (TO BE COMPLETED BY LOCAL PLANNING OR BUILDING INSPECTION
DEPARTMENT)
Zoning Designation2- dwelling units/acre
General or Community Plan Designation `f Cdwelling units/acre ��� — l� w Inc)
Local Coastal Program Amendment ❑ Required Submitted to Coastal Commission
LOCAL DISCRETIONARY APPROVALS
Proposed development meets all zoning requirements. No further permits required
other than building permits.
Oroposed development requires local discretionary approvals. CHECK ALL
APPLICABLE requirements below. Attach a copy of each approval.
Design/Architectural
ORequiredF� Applicant Submitted Review Complete
Variance for describe)
RequiredApplicant Submitted Review Complete
Zoning chan a describe)
Required Applicant Submitted LJReview Complete
Tentative Subdivision/Parcel Map No.
FIRequiredO Applicant Submitted LJReview Complete
13
A 1(,2oZ2 (305
Grading/Land Dev. Permit No.
FIRequiredEl Applicant Submitted Review Complete
Planned Residential/ Commercial Development Approval
HRequired[—] Applicant Submitted Review Complete
ite Plan Review
Required❑ Applicant Submitted Review Complete
�C ndominium Conversion Permit No.
RequiredEl Applicant Submitted Review Complete
Papditional, cial, or Major Use Permit No.
Required�Applicant Submitted Review Complete
Other (describe)
Applicant Submitted Review Complete
CEQA COMPLIANCE
Type (Exempt, Categorically Exempt, Mitigated Negative Declaration, EIR, etc.)
Statutory or Guideline Section Relied On
State Clearinghouse or other Document
Action or Adoption Date
CERTIFICATION
Prepared for the City/County of Nt-WLOq,rt ,tAc fl
by (print name)
Title
Sign
Date
14